which of the following statements describes managed care?

Which of the following statements about the nursing process is true. 8-10.doc - 1. Which of the following statements accurately describe an Deontological theories B. Freedom from a Foreign Animal Disease in a country (such as Foot and Mouth Disease) usually includes being free of clinical disease and vaccinating against the disease. Safety and crime information on Cambodia | CountryReports, AIRTEL Call Details ? is a physician or health care facility under contract to the managed care plan. a) managed care. Up-to-date lists for referrals to participating health care providers, hospitals, and diagnostic test facilities used by the practice Prior to scheduling elective surgery, managed care plans often require a _______; that is, a second physician is asked to evaluate the necessity of surgery and recommend the most economical, appropriate facility in which to perform the surgery (e.g., outpatient clinic doctor's office versus inpatient hospitalization). A. If the enrollee sees a non-managed care panel specialist without a referral from the primary care physician, this is known as a self-referral. A. Accreditation organizations, such as the NCQA, evaluate MCOS according to preestablished standards. C) Reimbursement is usually based on fee-for-service. B. Designating access to barns and water for firefighters. Under extreme heat conditions, livestock require less than 10%body weightof water per day. Health care is provided in an HMO-owned center or satellite clinic or by physicians who belong to a specially formed medical group that serves the HMO. B. Institution - Wikipedia D. For a State to qualify for Federal disaster assistance from FEMA, it is best if the State has laws that are consistent with those of Federal emergency management law. Which of the following statements arecorrectregarding injuries and damages that result from earthquakes? Utilitarian theories 8. 2.20) Which of the following is not recognized by the WHO as potentially treatable by acupuncture? D. Large-scale disasters affecting livestock never have serious implications for State revenues. A) the healthcare institution itself C) American Medical Association B) Board of Healing Arts D) State Board of Nursing, 14. Patients' needs are assessed and prioritized. A tracking system for preauthorization of specialty care and documented requests for receipt of the specialist's treatment plan or consultation report Discontinued Capitation, adopted fee-for-service. Transcribed image text: Question 69 (1 point) Which of the following statements concerning managed care plans is true? Annual physical examinations are encouraged for the early detection of health problems. A. Specialty Pharmacy J. Industry/Manufacturing. Only animals intended for human consumption require an official health permit signed by a veterinarian when moved across State lines. Most employees are covered under some form of managed care plan. (a) CO\mathrm{CO}CO, (b) O2\mathrm{O}_2O2, (c) H2S\mathrm{H}_2 \mathrm{~S}H2S, (d) SiH4\mathrm{SiH}_4SiH4, and (e) CHCl3\mathrm{CHCl}_3CHCl3. It is attentive to the needs of the membership group and individual patients. B. Mitigation of transportation accidents involves the use of properly designed trailers and regular trailer maintenance. D) Hospitals are the preferred setting for service delivery. is an alternative to traditional group health insurance coverage and provides comprehensive health care services to voluntarily enrolled members on a prepaid basis. Individuals have greater freedom in spending health care dollars, up to a designated amount, and receive full coverage for in-network preventive care. Ms. A Chap 1-4 Flashcards - Cram.com 2.15) Which of the following allied health professionals practice medicine under the direction and responsible supervision of providers and surgeons? These include provider networks, provider oversight, prescription drug tiers, and more. c.Health insurance must be This problem has been solved! iwi galil ace rs regulate; pedestrian killed in london today; holly woodlawn biography; how to change icon size in samsung s21; houston marriott westchase In return, individuals assume significantly higher cost-sharing expenses after the designated amount has been expended. Chapter 2 Quiz Flashcards | Quizlet An integrated delivery system may also be referred to by any of the following names: integrated service network (ISN), delivery system, vertically integrated plan (VIP), vertically integrated system, horizontally integrated system, health delivery network, or accountable health plan. 28. Healthcare Effectiveness Data and Information Set (HEDIS). A) The contribution rate isfixed, but the retirement benefit is not known in advance. fixed, but the retirement benefit is not known in advance. Which of the following statements iscorrectregarding the human food supply in disasters? 1 I only 2) I only 3) both I and A neither non Question 70 (1 point . Some managed care plans contract out utilization management services to a _________ an entity that establishes a utilization management program and performs external utilization review services. 8-10 - 1. Which of the following statements accurately describe an A) primary care B) respite care C) bereavement care D) palliative care, 12. Even when a storm serve has flooded a pasture land, livestock can be left to graze without concern for injuries. Different methods of paying for health care in the United States seek to provide superior care, equality of access, and freedom of choice for all citizens, while promoting the public interest through cost-containment programs. If enrollees choose to receive all medical care from the managed network of health care providers, or obtain an authorization from their POS primary care provider for specialty care with an out-of-network provider, they pay only the regular copayment or a small charge for the visit and they pay no deductible or coinsurance costs. Large-scale disposal ofcarcassescan be contracted to specialty firms that deal with hazardousmaterialsdisposal, such as from superfund sites. 13. If services provided to subscribers cost more than the capitation amount, the physician loses money. Most PPOS are open-ended plans allowing patients to use non-PPO providers in exchange for larger out-of-pocket expenses. Which of the following statements describes cyberwarfare? A. Livestock agriculture is more widely dispersed than ever before. A. Countries or subunits often also impose wealth taxes, inheritance taxes, estate taxes, gift taxes, property taxes, sales taxes, use taxes, payroll taxes, duties and/or tariffs . A. Cash values are a result of the level premium method of purchasing life insurance. D. All of the above. B) The care of the patient is carefully planned and monitored by the primary care provider. Ch. 8 Community Health Practice Questions Flashcards | Quizlet D. Intensification and consolidation has resulted in an increased number of animals living in a smaller space. Which of the following ethical theories of justice are based upon the rule that it is good to maximize the greatest good for the greatest number of people? High-deductible insurance policy, which reimburses allowable health care expenses after the high deductible has been paid, Health care expenses are funded by insurance coverage; the individual selects one of each type of provider to create a customized network and pays the resulting customized insurance premium. All of the highly compensated employees are covered by the, plan. Tax-exempt accounts that are offered by employers to any number of employees, which individuals use to pay health care bills. Health plans, purchasers, clinicians, and the public share responsibility for the appropriate stewardship of health care resources. In the following sentences, circle each incorrectly used lowercase letter. d. which of the following statements describes managed care? (Network providers are usually reimbursed on a fee-for-service basis. What type of agency is this? which of the following statements describes managed care? The group plan will pay depending on the employee's recovery C. The group plan will not pay because the employee was injured at work D. The group plan will pay C. Nurses who are employed in home care have a variety of responsibilities. D. A good time to check your window shutters and supply of boards, tools, batteries, nonperishable foods, bottled water, and other equipment is during a hurricane watch. Which of the following phrases is characteristic of case management as a method of healthcare delivery? They include many choices that provide individuals with an incentive to control the costs of health benefits and health care. Select all that apply. Richard Milhous Nixon (January 9, 1913 - April 22, 1994) was the 37th president of the United States, serving from 1969 to 1974.A member of the Republican Party, he previously served as a representative and senator from California and was the 36th vice president from 1953 to 1961 under President Dwight D. Eisenhower.His five years in the White House saw reduction of U.S. involvement in the . 18. 2.6) Which of the following best describes the alternative medicine modality of homeopathy? In insurance, the insurance policy is a contract (generally a standard form contract) between the insurer and the policyholder, which determines the claims which the insurer is legally required to pay. is a tool used by more than 90 percent of America's health plans to measure performance on important dimensions of care and service, makes it possible to compare the performance of health plans on an "apples-to-apples" basis. Responsible for reviewing health care provided by managed care organizations. 2.3) Which of the following statements best describes a health maintenance organization (HMO)? B. D. All of the above. The owner of an escaped animal may be held liable for damages his/her animal creates. This type of economic structure best describes which of the following? Select all that apply. A. Money must be used for qualified health care expenses and allows individuals to accumulate unspent money for future years. B. B) The care of the patient is carefully planned and monitored by the primary care provider. To create flexibility in managed care plans, some HMOS and preferred provider organizations have implemented a _______, under which patients have freedom to use the managed care panel of providers or to self-refer to out-of-network providers. "Don't drop out of school." b. Which of the following statements regarding thunderstorms is correct? The _______ is responsible for supervising and coordinating health care services for enrollees and approves referrals to specialists and inpatient hospital admissions (except in emergencies). define employer contributions and ask employees to be more responsible for health care decisions and cost-sharing. The term "managed care" is used to describe a type of health care focused on helping to reduce costs, while keeping quality of care high. D) The contribution rate is variable, but the, 6) Which of the following statements describes a defined, contribution pension plan? Medicare and many states prohibit managed care contracts from containing_________, which prevent providers from discussing all treatment options with patients, whether or not the plan would provide reimbursement for services. D. All suspect findings of Foreign Animal Diseases have to be reported to State or Federal veterinarians. Three patients arrive at the free clinic in need of the same medication, but there is only enough in stock for one person. Personal preparedness is rarely effective at minimizing losses from disasters. results. Healthcare in the United States is far outspent than any other nation, measured both in per capita spending and as a percentage of GDP. Patients should be well informed about care and treatment options. external quality review organization (EQRO). If livestock raised for human consumption are removed from a farm, care must be taken that the animals are not exposed to diseases or hazardousmaterialsthat could threaten the human food supply. Answer the following questions about these Canadian artists. a and b only. Chapter 1 Medical Assisting Profession Quiz, Chapter 2 Health Care Settings and Health Car, Unit 3, Real Estate License Law And Commissio, Chapter 1: The Medical Assisting Profession, Chapter 2: Health Care Settings and the Healt, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. 4. 29. Which of the following statements best describes this system? a. Study Resources. B. Health maintenance organization (HMO) Definition. D. Heat stress in animals only occurs under conditions of extreme heat. Managed care plans that are "federally qualified" and those that must comply with state quality review mandates (laws) are required to establish ___________. C. One of the purposes of an Emergency Operations Plan is to provide anoverviewof the communitys jurisdiction. is a managed care plan that provides benefits to subscribers who are required to receive services from network providers. which of the following statements describes managed care? d. c. Which of the following organizations provides independent, impartial assistance in more than 60 countries to people whose survival is threatened by violence, neglect, or catastrophe, primarily due to armed conflict, epidemics, malnutrition, exclusion from health care, or natural disasters? C) The nurse is considered the "gatekeeper" in the managed care system. 2.18) In 2007, how much of the world's population relied on alternative medicine? A person receiving healthcare insurance from his employer knows that he should check the approved list of contracted healthcare providers before seeking services in order to receive them at a lower cost. 9. D. Landslides rarely affect agricultural property. Consumer-directed health plans (CDHPS) provide incentives for controlling health care expenses and give individuals an alternative to traditional health insurance and managed care coverage. A. 24. B. Livestock agricultures reliance on machines and technology has increased the need for evacuation procedures. D. Sustained winds of more than 20 mph and hail greater than or equal to 2 inches in diameter are characteristic of severe thunderstorms. B) genetics and income. It has. B. Thunderstorms and their consequences are common, but rarely create problems. which of the following statements describes managed care? A triple option plan provides patients with more choices than a traditional managed care plan. The report card contains data regarding a managed care plan's quality, utilization, customer satisfaction, administrative effectiveness, financial stability, and cost control. Answer: DQuestion Status: Previous Edition 6) Which of the following statements describes a defined-contribution pension plan? C. In most States, Good Samaritan Laws do not directly apply to the care of animals. Practicing veterinarians are the officials who must conduct the investigation of a suspected Foreign Animal Disease. Which of the following statements is correct about the behavior of landslides? A. Exclusive provider organization (EPO) patients must receive care from participating providers, which can include emergency departments at participating hospitals, or they pay for all costs incurred. Information and communications technology - Wikipedia Higion is a website that writes about many topics of interest to you, a blog that shares knowledge and insights useful to everyone in many fields. (b) What range of wavelengths would distinguish B\mathrm{B}B and C\mathrm{C}C ? F) Planning and monitoring are conducted to ensure standards are followed. D. The USDA responds to disasters that threaten national food production, processing and distribution. 15. Contracted health care services are delivered to subscribers by individual physicians in the community. B. Patient care . Typically, it is an illegal seizure of power by a political faction, politician, cult, rebel group, military, or a dictator. HMO 92) Which of the following best describes vendor managed inventory? The physician group can be owned or managed by the HMO, or it can simply contract with the HMO. In abreva commercial girl or guy the elizabethan poor laws of 1601 quizletabreva commercial girl or guy the elizabethan poor laws of 1601 quizlet Money deposited (and earnings) is tax-deferred, and money. OPEN-PANEL HMO, Direct Contract Model. Exam 1 Review Questions Flashcards by Cam Bui | Brainscape D. Allowing people to smoke in barns. The attachment of preauthorization documentation to health insurance claims submitted to some MCOS. e. A) Medicaid C) health maintenance organization B) preferred provider organization D) long-term care insurance, 18. 3. b. distal radius C. Annual property loss resulting from thunderstorms, including damage to farms and barns, is estimated in the hundreds of millions of dollars. A mutual fund is required to use the services of a mutual fund custodian. Integrated delivery system (IDS) b. Which of the following statements accurately describes disaster assistance? Costs from animal disease outbreaks include loss of production andreplacementof animals. A. Medicare was established in 1965 under Title XVIII of the Social Security Act as a federal health insurance program for individuals age 65 and older, regardless of income or health status. B. Which of the following statements accurately describe an aspect of managed care? Medical practice that treats disease, such as medications and surgery Allopathic Individual contributes to the injury or condition Contributory negligence A person under the age of 18 who has been legally separated from his/her parents Emancipated minor Discontinue medical care without proper notice after accepting a patient Abandonment b. B. Providers are employees of the organization. Which of the following statements accurately describe an aspect of managed care? John Rawles suggested that in making decisions of distributive justice, one should examine the situation behind a "veil of ignorance" so that no one would be able to design principles to favor his or her particular condition. B. is an organization of affiliated providers' sites (e.g., hospitals, ambulatory surgical centers, or physician groups) that offer joint health care services to subscribers. D. Floods are an uncommon cause of natural disaster in the United States. If an employee changes jobs, he or she can continue to use the HRA to pay for qualified health care expenses. A PPO is not an HMO, but it is similar to an HMO because it is a managed care plan that provides enrollees with discounted health care through a network of providers. 5. Which of the following is a characteristic of primary healthcare? c. D) profession and income. B) The care of the patient is carefully planned and monitored by the primary care provider. D.Carcassesmust be disposed of onsite. Which of the following are effective MITIGATION (reduction, prevention) activities for farms? ), State insurance departments, state commerce or departmenf of cooperations. A. Livestock are resistant to heat stress. An important role of FEMA in disasters is coordination of response and recovery activities in declared major disasters. Health care is provided by individuals who are not employees of the HMO or who do not belong to a specially formed medical group that serves the HMO. Solved Question 69 (1 point) Which of the following | Chegg.com C. The Department of Health and Human Services (DHHS) is responsible for overseeing the safety of the environment in the U.S. True: Name 3 of the primary purposes of the health record. a. Which of the following is NOT relevant to the care of animals in floods? The early retirement age is the earliest age at which an employee can. b. C. Veterinarians dont know much about the clinical aspects of food animals exposed to hazardous chemicals. suffolk county pistol permit wait time 2020. ebbo para sacar a alguien de la casa; 16824 sw 137th ave, miami, fl 33177; Utilization management activities include: preadmission certification (PAC) or preadmission review, preauthorization, concurrent review, and discharge planning. c. What is one responsibility of nurses who work in physicians' offices? Yet, segments of the health care system maintain aspects of a free-market competition. This idea supports which of the following economic theories for which Rawles was a proponent? Select all that apply. Juan trabaja de asistente de vuelo y habla con los pasajeros. 4. A) Managed care systems control the cost of care with a lower quality of care. Course Hero is not sponsored or endorsed by any college or university. B) Employers, insurance companies, and other health insurance benefit providers are typical groups that contract with PPOs. [Solved] Which of the Following Statements Describes Managed Care D) Medicare and Medicaid will pay most of the costs. Relationships are not critical in the delivery of health services. Even though smoke residues can be harmful to livestock, if livestock have been exposed to smoke residues they can be used for human consumption without concern. Fixed-price reimbursement is a feature of managed care. Quality Compass users benefit from the largest database of comparative health plan performance information to conduct competitor analysis, examine quality improvement and benchmark plan performance. B) The contribution rate is fixed, and the retirement benefit is known in advance. is a private, not-for-profit organization that assesses the quality of managed care plans in the United States and releases the data to the public for consideration when selecting a managed care plan. 2. e. Why is livestock agriculture thought to be more vulnerable to disasters now than in 1900? B. Which one of the following statements best describes the family caregiver burdens of providing home care ? Which of the following is true? Direct contract model C) The patient gets the bill and pays out-of-pocket costs. After a stroke, a patient is having difficulty swallowing. 1. The ________ (e.g., physician, physician's assistant, nurse practitioner, nurse, or social worker) submits written confirmation, authorizing treatment, to the provider. Hazardous materials released during floods will flow away with the water. Most managed care financing is achieved through a method called capitation, and enrollees are assigned to or select a primary care provider who serves as the patient's gatekeeper. Escriba lo que dice. Which of the following correctly describes the role of the USDA in disasters? 19694 Which of the following statements about funding sources for nurse managed health from NURSING COMMUNITY at Rasmussen College. Federal legislation mandated that MCOS participate in quality assurance programs and other activities, including utilization management, case management, requirements for second surgical opinions, non-use of gag clauses in MCO contracts, and disclosure of any physician incentives. You might think of a CDHP as a sort of "401(k) plan for health care" (recalling the shift from employer defined-benefit pension plans to employer defined-contribution 401(k) plans). C. Intensification of U.S. dairy production has manifested itself as lower productivity of individual cows. Do you think Krauthammer fairly characterizes libertarian thinking? 2.2) Which of the following is NOT considered a type of managed care operation? Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses. Healthcare in the United States - Wikipedia The National Committee for Quality Assurance (NCQA) evaluates managed care organizations. Free Printable Vegetable Bingo: an easy way to teach food groups & nutrition. The only loss in disasters is to affected farms. 2.4) Which of the following best describes the process of screening in the medical office setting? Which of the following statements accurately describe an aspect of managed care? B. Biosecurity is the principal method to mitigate (prevent, reduce) disease outbreaks. Which of the following statements correctly describe liability issues in disasters? ch.08 Flashcards | Quizlet 1) All of the following statements about tax implications of qualified pension plans are correct EXCEPT, A) Investment earnings on plan assets accumulate on a tax. a. (B) Give the symmetry number for each of the following molecules: C. New animal arrivals to a farm should be placed in quarantine until a suitable time has lapsed to rule out the introduction ofcontagious disease. Out-of-pocket payments for health care expenses, which are made after the tax-exempt account is expended and before the deductible for high-deductible insurance has been met; this tier actually represents a gap in coverage Damage from mudflows cannot be covered by insurance. D. All of the above. If the physician provides services that cost less than the capitation amount, there is a profit (which the physician keeps). Then, identify the type of clause by writing one of the following abbreviations above it: ADJ for adjective clause, ADV for adverb clause, or N for noun clause. Non-Profit Bylaws Last revision 09/27/2022 Formats Word and PDF Size 6 B) Employer contributions are deductible up to certain limits as an ordinary business expense. 20. which of the following statements describes managed care? C) Risk management is unique to the health care industry. What is the confusion that might arise concerning her treatment and care is a problem known as? POS enrollees pay less if they use the plan's in-network providers. Utilitarian theory is the sole basis for U.S. health care financing, forming the foundation of Medicare, Medicaid, and privately purchased health care insurance. Plans are required to meet minimum performance levels and to show demonstrable and measurable improvement in specified broad clinical areas (e.g., preventive services, acute ambulatory care, chronic care, and hospital care) based on performance improvement projects that each plan identifies. Managed care can now be categorized according to six models: 1.